Mr Timothy Michael Fullmer, MSPT | |
150 Broad St, Waverly, NY 14892-1361 | |
(607) 687-2495 | |
Not Available |
Full Name | Mr Timothy Michael Fullmer |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 150 Broad St, Waverly, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104989268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 022693 (New York) | Secondary |
225100000X | Physical Therapist | 022693-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Michael Fullmer, MSPT 150 Broad St, Waverly, NY 14892-1361 Ph: (607) 687-2495 | Mr Timothy Michael Fullmer, MSPT 150 Broad St, Waverly, NY 14892-1361 Ph: (607) 687-2495 |
Anne Demott, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Broad St Ste 1, Waverly, NY 14892 Phone: 607-742-7207 Fax: 607-565-2750 | |
Mrs. Patricia Louise Ward, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Center St, Waverly, NY 14892 Phone: 607-565-9944 | |
Ms. Amy Kathryn Brown, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Ellis Creek Rd, Waverly, NY 14892 Phone: 607-972-5158 |